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General NPI Number Information
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NPI Number | 1053319871
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Entity Type | Organization
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Legal Business Name | THE CIRCULATORY CENTER OF PA, INC.
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 300 CHAPEL HARBOR DR SUITE 102
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City | PITTSBURGH
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State | PA
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Zip | 15238-4131
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Country | US
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Telephone | 412-967-9220
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Fax | 412-967-9303
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Provider Business Mailing Address
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Address Line | 397 CHURCHILL HUBBARD RD
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1375
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Country | US
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Telephone | 330-759-6750
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Fax | 330-759-6755
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | LINDSAY A MCALLEN
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Credential |
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Telephone | 330-759-6750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD039604L
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | PA
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